Anticoagulation CNS | North Middlesex University Hospital NHS Trust
| Posting date: | 18 April 2024 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £40,701 - £48,054 Per Annum Inclusive of HCAS |
| Hours: | Full time |
| Closing date: | 18 May 2024 |
| Location: | London, N11 1QX |
| Company: | North Middlesex University Hospital NHS Trust |
| Job type: | Contract |
| Job reference: | 6224515/393-NMUH-1333 |
Summary
The anticoagulant clinic provides specialist care for patients taking anti-clotting medication to treat and prevent blood clots by offering a monitoring and advisory service.
The anticoagulation team at The North Middlesex University Hospital is made up of specialist Nurses, health care assistants (HCA’s), administrators, and a lead Hematologist consultant.
In our clinic we provide service for patients who are diagnosed with Deep Vein Thrombosis (DVT), pulmonary embolism (PE), cancer associated thrombosis, stroke prevention for atrial fibrillation and anticoagulation for patients with mechanical heart valves. Patients will be referred into the service by their GP or by a hospital A&E or inpatient ward.
The CNS for anticoagulation services will be required to provide specialist advice, education and nursing care for patients, carers and their families. To advise members of the multidisciplinary team, community nurses and GP’s with regards to the management of anticoagulation therapy treatment.
Provide thrombosis and anticoagulation nurse led clinics in conjunction with specialist nurses and the lead nurse. To undertake administration of specialist medicines within ‘Patient Group Directions’ framework. To safely, monitor and evaluate the effectiveness of the specialized treatment and act upon findings.
Promote evidence based practice and educational support to nursing colleagues. Participate in audit and contribute to research studies where applicable. To develop and maintain skills in the appropriate clinical area through education and training.
To be responsible for Medicines management used within the specialty with regard to commence treatment and review of patients receiving treatment and compliance with NICE Guidelines.
To support the anticoagulation and Thrombosis team in providing high standard, safe and effective service.
The post holder will cross over both the anticoagulant and VTE monitoring service and will support with the collection of VTE data required for NHS England, to ensure information is collected in a timely manner.
Ensure the Trust maintains the 95% of all patients risk assessed target set by NHS London.
North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organizations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organizations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.
We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.
Take a tour of our hospitalhere
To provide a holistic, autonomous nursing service by attending to physical, psychological and social needs of patients and where necessary implementation an agreed management plan for optimum care and treatment of their complex problems or potential problems.
To effectively run nurse led outpatient’s clinics alongside the specialist nurse.
To initiate and follow up patients with DOACs and discharge safely to GP care.
To health promote prevention of VTE and treatment. (Root cause analysis, HAT and safety thermometer)
Supported by a Lead nurse or independently in the absence of a Lead nurse within clinical competency.
To work alongside specialist nurses and the Lead nurse to undertake rescue work through direct access to patients to provide advise with regards to side effects and symptom management to prevent admissions.
To provide patient centered care supporting adherence to treatment.
To undertake teaching of patient’s (carers if appropriate) in the treatment and management of the anticoagulation therapy medicines.
Assist nurse in developing effective links with GP’s and Practice.
Nurse’s to support the continuing care and treatment of patients, including monitoring and sharing of information.
To provide a telephone help line within working hours, to provide direct access for patients and outside agencies including GP’s.
Responsible for patient’s safety and high standard of specialist care for all patients on anticoagulation therapy within the service.
Be responsible for appropriate action and medical referral for patients in the management of thrombosis and anticoagulation therapy.
To liaise closely with specialist nurses and consultant nurses to ensure the effective triage of referrals to enable patients to access the appropriate element of the anticoagulation service.
To assist specialist nurses and be responsible for making appropriate referrals to hematologist, respiratory consultant, vascular surgeon and other specialist teams as required.
To assist anticoagulation specialist nurse and consultant nurse in the ongoing specialist care of patients both in hospital and outpatient settings, acting as a central point of contact.
Participate in national benchmarking of the anticoagulation service, carry out audits in line with NPSA alert, NICE in conjunction with the Clinical Lead and Pharmacist.
In conjunction with consultant and various members of the multidisciplinary team, responsible for development of protocols for investigations, treatment for the management of patients with thrombosis and anticoagulation therapy.
Responsible for contributing to specialty clinical governance group.
Able to act independently within agreed protocols in collaboration with consultant colleagues.
Being a resource to patients, relatives, GP practice and colleagues on aspects of thrombosis and anticoagulation therapy management.
To manage physical resources ordering stock, non-stock and specialist medication and equipment and consumables.
To implement strategies to facilitate succession planning and retention of motivated staff.
To set up clinics, maintain equipment and be responsible for clients and staff as laid down by Health and Safety regulations.
Act as a role model for junior members of staff.
Involving in helping in initiating DOACs and prevention of VTE (HAT).
Work as part of the team.
To be competent in the anticoagulation therapy software DAWN AC maintain accurate records of all patient encounters in line trust record keeping policy NMC.
To initiate and maintain up to date spreadsheet (computerized) of all patient encounters in line with the NPSA alert audit.
To be a resource to GP practices and staff with detailed and monitoring information.
To ensure information leaflets are available to patients and GP practices as needed.
Promote and create a climate of clinical enquiry through practice.
Liaise with company representatives to keep abreast of current treatments and products. To act as a resource for providing advice on choice and use of specialist products to the MDT.
Inputting data onto an appropriate database to ensure quality data records.
Undertake research projects in line with research skills and knowledge with view to presentation and publication.
This advert closes on Thursday 2 May 2024
Proud member of the Disability Confident employer scheme
Disability Confident
About Disability Confident
A Disability Confident employer will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. It is important to note that in certain recruitment situations such as high-volume, seasonal and high-peak times, the employer may wish to limit the overall numbers of interviews offered to both disabled people and non-disabled people. For more details please go to Disability Confident.